The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED RESCISSION

20 CSR 2230-2.050
Licensure by Reciprocity
This proposed rule change is to rescind this rule as it is no longer valid with the implementation of section 324.009, RSMo.

PUBLIC COST:  This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 3, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration - Podiatry

PROPOSED RESCISSION

20 CSR 2230-2.055
Issuance of Temporary Courtesy License to Nonresident Military Spouse
This proposed rule change is to rescind this rule as it is no longer valid since Section 324.008, RSMo was repealed.

PUBLIC COST:  This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 3, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration - Podiatry

PROPOSED RESCISSION

20 CSR 2110-2.030
Licensure by Credentials—Dentists
This proposed rule change is to rescind this rule as it is no longer valid with the implementation of section 324.009, RSMo.

PUBLIC COST:  This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 3, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED RESCISSION

20 CSR 2110-2.070
Licensure by Credentials—Dental Hygienists
This proposed rule change is to rescind this rule as it is no longer valid with the implementation of section 324.009, RSMo.

PUBLIC COST:  This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 3, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED RESCISSION

20 CSR 2110-2.075
Nonresident Military Spouse Licensure by Credentials
This proposed rule change is to rescind this rule as it is no longer valid with the implementation of section 324.009, RSMo.

PUBLIC COST:  This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 3, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED AMENDMENT

20 CSR 2250-8.060
Display of License
The rule is being rescinded because there is no longer a need to display a license because the public can verify a license through the division’s online licensee search.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 1, 2023

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Real Estate Commission

PROPOSED AMENDMENT

20 CSR 500-1.100
The Director is amending this rule by adding two new subdivisions to subsection (3) (A) and by adding additional language to Exhibit A.
The purpose of this amendment is to provide contact information to insureds who receive a notice of cancellation, nonrenewal, reduction in amount or adverse modification.
PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 1, 2023 Register This proposed amendment does not have an adverse impact on small business. Insurance

PROPOSED AMENDMENT

20 CSR 2220-2.175
Well-Being Program
This amendment updates requirements for the Well-Being Committee providers and Well-Being Committee participants.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
February 15, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 2115-2.040
License Renewal
This amendment changes the license expiration date.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
February 15, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Dietitians

PROPOSED AMENDMENT

20 CSR 2040-5.070
Fouls
This rule is being amended to remove the prohibition of using a twisting leg submission maneuver during an amateur mixed martial arts contest.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
February 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Athletics

PROPOSED RULE

20 CSR 2110-2.133
Telehealth Dental Pilot Project in Medically Underserved Populations
To implement the provisions of section 332.325, RSMo.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will not cost private entities more than five-hundred dollars ($500) in the aggregate.
February 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Dental

EMERGENCY RULE

20 CSR 2110-2.133
Telehealth Dental Pilot Project in Medically Underserved Populations
This rule implements the provisions of Section 332.325, RSMo, and creates temporary waivers of provisions of Chapter 332 and previously promulgated regulations pursuant to Section 332.325, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the time the emergency is effective.
February 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED AMENDMENT

20 CSR 2234-3.010
Application for Licensure—Agency
This amendment will require agencies to report to the board within ten (10) days that an agency employee is no longer employed.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 17, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Private Investigators

PROPOSED AMENDMENT

20 CSR 2234-3.040
Application for Licensure—Agency Employee
This amendment outlines the responsibility of a terminated agency employee to return their evidence of licensure to their employer within five (5) days of employment termination.  The rule further clarifies a new application for licensure needs to be submitted if the agency employee is seeking to work for a different agency.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 17, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Private Investigators

PROPOSED AMENDMENT

20 CSR 2235-5.030
Ethical Rules of Conduct
These additions and amendments are to provide clarity in respect to each topic.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
January 17, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Psychologists

PROPOSED AMENDMENT

20 CSR 2270-4.050
Minimum Standards for Continuing Education for Veterinary Technicians
This amendment adds another acceptable provider to obtain continuing education for veterinary technicians.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 17, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration - Veterinary

PROPOSED AMENDMENT

20 CSR 2150-2.080
Physician Licensure Fees
The amendment incorporates the preceptorship fee to the permanent physician licensure and renewal fee.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately two hundred seventeen thousand two hundred eighty dollars ($217,280) annually for the life of the rule.  It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Healing Arts

EMERGENCY AMENDMENT

20 CSR 2150-2.080
Physician Licensure Fees
This amendment updates physician licensure fees pursuant to section 135.690.3, RSMo.

PUBLIC COST: This emergency amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST: This emergency amendment will cost private entities eleven thousand one hundred thirty dollars ($11,130) in the time the emergency is effective.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.200
Physician Assistant Licensure Fees
The amendment incorporates the preceptorship fee to the permanent physician assistant licensure and renewal fees

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately five thousand two hundred eighty three dollars ($5,283) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Healing Arts

EMERGENCY AMENDMENT

20 CSR 2150-7.200
Physician Assistant Licensure Fees
This amendment updates physician assistant licensure fees pursuant to section 135.690.3, RSMo.

PUBLIC COST: This emergency amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST: This emergency amendment will cost private entities four hundred twenty dollars ($420) in the time the emergency is effective.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Healing Arts

PROPOSED RULE

20 CSR 2010-2.085
Reinstatement of Firm Permit
This rule establishes requirements for reinstatement of permit to practice for CPA firms.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-2.160
Fees
This amendment combines and clarifies existing fees, increases delinquent and inactive fees and establishes reinstatement fees.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities thirty-seven thousand, five hundred dollars ($37,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-3.060
Other Responsibilities and Practices
The amendment clarifies the methods in which the board may deliver communication to a licensee.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-4.031
Continuing Professional Education (CPE) Documentation
This amendment clarifies language on CPE deficiencies.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-4.035
Inactive, Expired, and Lapsed Licenses
This amendment clarifies language on expired and lapsed licenses.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
January 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

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